Annual Report 2004 · 2018. 9. 13. · Barsa Shrestha, a 10-year-old girl from Butwal (400 Km west from Kathmandu) is the only living child among four in her family. She was born

Hospital and Rehabilitation Centre for Disabled Children 1

Annual Report 2004

A Program of

the Friends of the Disabled (FOD)

Hospital and Rehabilitation Centre for Disabled Children 3Hospital and Rehabilitation Centre for Disabled Children2

MESSAGE FROM THE CHAIRMAN

Dear Friends,

The past year has ended in the most turbulent note for the entire world and

our hearts go out to the millions of people who have suffered. The conflict in

Nepal rages on and this has affected some of the HRDC's field activities. To

maintain services and at the same time to ensure the safety of patients and

staff, we have started providing services through two satellite centers at

Nepalganj and Biratnagar.

The hospital based services have continued with increased number of

complex interventions, including spine surgeries. We are of course affected

by the unpredictable politics and the infamous Bandhas that cripple

movements to and from the Hospital. Our affiliation with Kathmandu

University has augmented our educational responsibilities at the MBBS level

and in the other paramedical disciplines (nursing, physiotherapy, etc.).

Our work would come to a grinding halt, if it were not for the support

provided by all of you for HRDC. We look forward to your continued help

in the years ahead. We hope that the New Year brings peace and progress

to all!

Sincerely,

Dr. Ashok K. BanskotaChairmanThe Friends of the Disabled

Dr. Banskota reassessing a patient in the wards of HRDC

Narendra Bohara

Eleven year old Narendra

Bohara from a poor Bohara

family of Gulmi district is

undergoing correction of his

severe right foot deformity in

a special ring device. Foot

deformities of this type are

commonly seen at HRDC and

very challenging to manage.

Narendra is very interested in

drawing and painting and is

very good at it. He

demonstrated his passion for

it by genuinely involving

himself in the painting work

organized by HRDC's

education and training

department. He is studying in

5th grade. Before coming to

treatment at our Hospital, he

used to go to school with

great difficulty. Rehabilitation

intervention at HRDC will

improve his mobility

facilitating his schooling.

During his stay with us for

about 3 months, Narendra has

made very satisfactory

progress. Completion of

treatment can extend into

many months. We are hoping

that the physical independence

gained at HRDC will help

Narendra move ahead for his

continuous growth.

Happy Narendra

in the process of

rehabilitation at

HRDC...


Saraswati Bhandary

Saraswati Bhandary is a seven

year old girl from mid west

Nepal undergoing correction

of her severe left foot

deformity in a special ring

device. She is among those

lucky girls whom the family

decided to bring to HRDC for

medical care. Girls are

frequently ignored for medical

treatment and education in

preference to boys. Saraswati

attends third grade and is

looking forward to pursue

education on completion of

treatment.

Smiling

Saraswati has

a hope of

being able to

walk as

normally

as any other

person and go

to school...

The HRDC is a program of a non-

governmental organization, the

Friends of the Disabled. Its services

are aimed at under privileged

children with physical challenges.

The program has been providing

comprehensive rehabilitation care

continuously since 1985.

Located, 25 Km east of Kathmandu,

in the beautiful natural surroundings

of Banepa valley atop a small

promontory south of Arniko

INTRODUCTION

Highway, HRDC is a leader in the

rehabilitation of orthopedic related

disabilities.

Children and their family members

are attended with compassion and

encouraged to actively participate in

their therapies in whatever way

possible. The children and

guardians are taught rehabilitation

methods that can be done at home

and also educated on preventive

measures that can be adopted in the

villages to minimize disabilities in

the future.

It should also be noted that more

than 50% of the disabilities can be

prevented if the over all

development of the population (in

health, education, awareness,

poverty, etc.) is increased.

… "Dr. Ashok K. Banskota's pioneering effort in the field of disability inNepal led to the establishment of HRDC, and to-day, the support and cooperationof highly motivated medical, administrative, financial and academic staff havemade HRDC a premier centre for care and rehabilitation of disability."

Prof. Jwala R. Pandey, FRCS, M.Ch.Team Leader, Project Evaluation 2001

The HRDC Complex, Janagal, Kavre


Barsa Shrestha, a 10-year-old girl from Butwal (400 Km west

from Kathmandu) is the only living child among four in her

family. She was born normally at home. Her mother noticed

a small peanut sized lump on her back which she was told by

a health worker that the lump was self- subsiding. So she

ignored it and just had oil massage over it till 2 months. But

it increased in size for next 2 years and growth ceased.

One day Barsa developed high fever with distention of

abdomen. So she was carried to Palpa Mission Hospital

where she was admitted for 1 month for symptomatic

treatment. In the mean time her father left them and never

returned. Their relatives also denied helping them. Her

mother was not able to take her to Kathmandu for the

treatment due to declining family income and she was

ignored for almost 5 years.

Difficulty in micturation, knee flexion with contracture

started, so she couldn't stand on her own feet. Her mother

had to carry her all the time because the alternative was to

crawl to move from one place to

another at the age of 2 years. The

unpleasant smell due to

uncontrolled urination made it more

difficult for her to make friends and she was denied

admission at schools. At the age of 5, she was taken to

'HATEMALO' (a non-government organization that works

for disabled children) where she was diagnosed with the

most severe form of Spina Bifida. She was referred her to

'Bal Mandir' at the age of 8 years for her studies. After 6

months she left this place - she was cast out by class mates

because of the stench of uncontrolled urination caused by

her ailment.

After her father deserted the family, her mother started to

work at a factory to survive and was unable to manage a

catheter for her daughter. Due to this Barsa developed

severe urinary tract infection. Barsa was then taken to Kanti

Bal Hospital in Kathmandu (one of the biggest Childrens'

Hospital in Nepal) as well as Patan Hospital but they

returned without any significant improvement.

BARSA STANDS ON HER OWN FEET

"CBR Services" Pokhara,

referred her to "Manipal

Teaching Hospital" where she

was treated with traction for 3

weeks for flexion contractures of

both knees. The brace and caliper as recommended by

orthotist were simply beyond their means. Finally with the

help of Manipal Teaching Hospital and Asha Clinic of

Pokhara, she was referred to HRDC, Banepa, Kavre, to

consult with Prof. (Dr.) Ashok K. Banskota.

At the time of presentation she was wheelchair bound, she

had urine incontinence and 12 x 15 cm soft lump at thoraco-

lumbar region. She was admitted for rehabilitation and

stayed at the Hospital for 44 days. Between these days,

treatment started by inserting catheter to ease urination.

After 2 weeks she was trained for bladder management by

clamping and releasing catheter. When she was able to

tolerate the discomfort for 2 hours her catheter would be

removed and side by side physiotherapy was carried out.

Barsa, through physiptherapy is now able to micturate

independently. She is now equipped with a moulded Ankle,

Knee Foot orthosis that helps her to stand and walk for

some distance. The tears of joy in her mother's eyes, Barsa's

cheerful laughter at being able to reach her mother's hips

are the beginning of her journey towards self confidence,

social integration and independence - after a 10 year wait.

Her mother is consulting with "Sathi Nepal" Pokhara for her

studies. She is happy and hopes to be in school soon and we

wish her luck and success.

At HRDC every success is celebrated

but the quest to do more, the need

to do more is never forgotten.

Because there are more Barsas

out there who need to walk and

stand tall.

And they need you!

… "Equipped with a moulded orthosis that helped Barsato stand and walk some distance, the tear of joy was visiblein her mother’s eyes. "

Note: The bar diagram above doesnot include follow-up done by CBR facilitators under home visit program

ACHIEVEMENT

� Clinical assessment, counseling

and more complex rehabilitation

management, both conservative

and surgical, were efficiently

carried out in 2004 with better

standards than in previous years.

� New initiatives in clubfoot

management (Ponsetti), early

identification and intervention of

spine problems (especially

scoliosis), managing more fracture

cases, decentralization of follow

up responsibility to partners in

the grassroots level, development

of new strategies in the

evaluation and

management of cerebral

palsy cases, etc. are a few

of the new initiatives

undertaken in 2004.

� 242 patients' files were

successfully closed at

HRDC.

� 2998 (1815 boys and 1183 girls)

new and 6167 (3894 boys and 2273

girls) follow-up patients were

counseled in 2004.

2004 ACHIEVEMENTS VERSUS TARGETS

TARGET 1

i. Counsel 125 new and 500 follow-up patients per month

ii. Set rehabilitation goals collectively for every patient and

execute activities to meet the goals.

Compassionate care is the hallmark of rehabilitaion at HRDC

The comparative trend of new inflow and follow up care from

1998 - 2004 is shown in the bar diagram below:


TARGET 2

Admit 1000 patients, prepare them for surgical intervention, execute

the surgery and provide post surgical care.

ACHIEVEMENT

� 977 children (611 boys and 366

girls) were admitted at the

Hospital. We almost met the

target of 1000 admissions per year.

The following chart shows

distribution of admitted cases:

COMMENT

Interventions for 326 children

with clubfoot were carried out in

2004. This is the most common

deformity seen at the Hospital.

The "Ponsetti" technique of

clubfoot management was

introduced at HRDC in July 2004

and 70 patients have already been

treated using this technique. The

technique eliminates the need for

surgical procedures and instead

utilizes a series of, on average,

six plaster cast applications, over

a given period. The beauty of this

technique is in its simplicity and

can even be carried out by field

workers.

� Surgery was carried out on a

total of 92 days, with a total of

1249 surgeries, 58% of which

were major procedures. On

average, 14 surgeries were done

per operation theatre day.

Vacuum Assisted Machines were

used for 8 children. 17 spinal

surgeries were carried out in

2004 as opposed to just 4 in

2003. TARGET 4

Set goals for functional independence of patients, organize and execute

physiotherapy activities to achieve the goals and evaluate impact of the activities:

� Thoroughly assess 1824 patients� Provide therapeutic exercises to patients (total 38868

sessions)� Fabricate 480 custom made physiotherapy aids

(splints, etc.) and distribute to the clients

In-Patients Out-patients Total

Patients 1545 (585 girls + 960 boys) 3306 (1163 girls + 2143 boys) 4951

Assessment 904 (343 girls + 561 boys) 843 (334 girls + 509 boys) 1747

Treatment cycles 33370 (13176 girls+29194 boys) 3645 (1229 girls + 2416 boys) 37015

Physio Aids Mobility Aids (wheel chairs, walkers, etc) 251

Immobility Aids (casts, hip Spica, etc) 1365

Medical team at HRDC has become stronger every year in its

capability and is carrying out very complex surgical procedures of

higher quality

� Average hospital stay per

patient was 18 days.

� On average, 83% of the 67 beds

were occupied in 2004. 78% of the

children were attended by their

guardians during hospitalization.

TARGET 3

Measure, fabricate and distribute more than 1800 orthopedic assistive devices for

more than 1400 children, distribute and evaluate the usefulness of appliances.

ACHIEVEMENT

� 1994 orthopedic mobility aids were fabricated and distributed, benefiting 1267 patients. The target set was

overly optimistic. The table below shows types of aids:

MeasuredMeasuredMeasuredMeasuredMeasured SuppliedSuppliedSuppliedSuppliedSupplied FabricatedFabricatedFabricatedFabricatedFabricated

Spinal & Upper Limb Orthoses 68 64 69

Lower Limb Orthoses 1789 1694 1836

Upper Limb Prostheses 6 6 5

Lower Limb Prostheses 91 67 82

Wheel Chair 2 2 2

Total 1956 1833 1994

Total Repair 330

ACHIEVEMENT

Physiotherapy Department

operates 7 days a week and

addresses both in - and out -

patients' requirements. Progress

of 2004 is listed below:

HRDC’s doctor diagnosing the problem

of a girl at the clinic

The custom-made prosthesis fabricated at the HRDC workshop has made the boy physically mobile

A busy leather worker

fabricating orthopaedic

shoes at HRDC

workshop

COMMENT

We are doing our best to train local people to repair

the assistive devices in the villages. This has resulted in

the expected decrease of repair work at the hospital.


COORDINATION /NETWORKING

Disability Coordination

Committees were initiated in

Kavre, Banke, Nawalparasi,

Kanchanpur, Bara and Tanahun

Districts. Work is in progress for

the formation of similar

committees in Nuwakot and

Makawanpur districts. See Annex -

B for the list of partners with

whom collaborative activities were

conducted.

SUPPORTIVE SUPERVISION

� Human Resource and

Rehabilitation Manager and CBR

Supervisors carried out several

supervision visits to support CBR

TARGET 5

4200 patients' progress will be monitored in reaching their functional independence which

will also be facilitated by the field network of partners in 12 districts. HRDC is equally

involved in sensitization of the community on reproductive health services and prevention

and rehabilitation issues in disability. Develop at least 6 networking centres for regular

communication.

ACHIEVEMENT

Major regular activities conducted

under Community Based

Rehabilitation Department include

the following:

PATIENTS FOLLOW UPAND SOCIALREHABILITATION

� Under the follow up program,

CBR Facilitators visited 3587

patients out of total of 3999 (2426

boys and 1573 girls) in the

patients' homes. This is almost

90% of the total regular follow up

care in the districts.

� 14 CBR Facilitators established

33 service centres and conducted

various activities such as group

sensitization, checking and

reinforcement of hospital

instructions and feedback on the

use of assistive devices. 1371 (843

boys and 528 girls) patients

received different rehabilitation

services from the centres.

HEALTH ANDREHABILITATION MOBILECAMPS

� 898 follow-up (368 girls and

530 boys) and 1699 (698 girls +

1001 boys) new patients were

counseled during nine rounds of

mobile camps which covered 29

districts (11 in CBR regions and

18 in non-CBR regions) in a total

"On HRDC, the strengths are that it has good staff, almostcomplete rehab team and program with follow up care reaching over30 districts, and is well managed ..."

Team Leader, Project Evaluation 2003

facilitators, reinforced

coordination and evaluated the

local situation to establish HRDC

satellites in Nepaganj and

Biratnagar.

CURRENT REGULARCOVERAGE

� The map of Nepal below

shows, by district, the distribution

of patients as of December 2004

in CBR districts. The regular

coverage under home visit

program extends to 19 districts

with a total of 3999 patients. This

number fluctuates based on new

patients' identification,

registration and closure of files

Through CBR Program and outreach services, we cover more than 40 districts.

The Map below shows our regular follow –up care with the number of children

we are providing the treatment and rehabilitation services:

Achievement – output level

• 20,908 patients already served as of December

2004

• 15,035 plus patients are under follow up care

• 21,292 surgeries, both major and minor have

been performed so far

• 23,163 orthopedic assistive devices fabricated and

distributed. Approximately 70% of disabled

children need assistive devices

• More than 15% of the pediatric population

served

• Health and rehabilitition mobile camps cater

more than 2500 patients every year.

One of the CBR Facilitators conducting a disability orientation session to families of

disabled children under reproductive health integrated pilot project.

One of the CBR facilitators witha disabled boy and his fatherduring a recent field camp

of 44 clinic days and 490 patients

received elective dates for

surgery.

� 26 patients' files were closed in

the field.

TRAINING,CONFERENCESAND WORKSHOPS

Major training and education

activities included in 2004 were:

� In-house skill development and

experience sharing workshops of

CBR facilitators were conducted.

� 4 CBR facilitators participated

in the CBR supervisor's training

conducted by the CBR National

Network Nepal.

� Orientation training in

reproductive health and disability

was conducted in Chitwan and

Makwanpur Districts.

� A one-day workshop was

conducted in Nepalganj for

potential partners to identify the

role of a HRDC satellite center.

Three areas of involvement were

clearly visible at the end of the

day: primary rehabilitation

therapy, production of low cost /

affordable assistive devices for

person with disability and

effective networking.

when no

further

intervention is

deemed

essential. We

close files of

patients who

complete the

rehabilitation

and of those who are over age

(above18 years) and refer them to

other organizations.

� Special Camp A special camp

was organized for the distribution

of assistive devices in Bara

District. 19 children received 26

mobility aids.


TARGET 7

Mobilize resources so that adequate funds (48.7 million

rupees) are made available for HRDC activities.

ACHIEVEMENT

� The diagram below shows the

summary of income and

expenditure (in million rupees)

based on the projected

comprehensive cost (which

includes depreciation also).

� Estimated income for 2004 was

34.6 million rupees. Though actual

income exceeded the estimated

income, we were still far behind

meeting the comprehensive

budget (48.7 million rupees) of

2004. There was a deficit of 8.43

million rupees (see the diagram

on the right side).

DISABILITY FUND

� The pie chart (right) shows use

of disability fund. A total of 252

patients benefited from the

transaction (207 from partial

waiving and 45 from the use of

disability fund). There is a cash

balance of Rs.110,870/- in the

disability fund.

SPECIAL FUNDRAISING EVENT

A special event was organized on

March 05, 2004 at Yak and Yeti

Hotel to raise funds for, and

raise awareness about HRDC to

the society. The Fundraising

manager Ms. Chetana Banskota

planned, coordinated the ticket

sales and secured sponsorship

for the event. The event was a

great success with a net profit of

Rs.928,770.- The board and

executive management team

express their heartfelt thanks to

Chetana for her dedication and

hard work in making the event

such a success. We would also

like to thank all the members of

the HRDC team, their families

and all supporters for their

individual assistance in making

the event such a success

For information, transaction

statement of the Event is

provided below:

Chetana Baskota with her elder brother, Anil

TARGET 6

Plan and execute education and training activities for clients and staff on matters of

their immediate concern and preventive aspects of disabilities.

ACHIEVEMENT

� At least 20 innovative papers

were presented by the medical

team, HRDC in 2004 at different

forums.

� Primary RehabilitationTherapy Training

� The sixth batch in primary

rehabilitation therapy (PRT)

training was successfully

completed on the 21st of

January 2004. There were a

total 18 participants from

different organizations.

� Week long refresher

training was conducted for 12

older graduates of PRT. This

gave us an opportunity to re-

validate our input level self-

appraisal and get first hand

feedback of the graduates

after their field experience.

� The PRT training for the

seventh batch with 17

participants from different

organizations commenced in

August 2 and ended on

October 18 with a positive

appraisal from the

participants.

� The head of Physiotherapy

department participated in a

conference organized by

Physiotherapy Association, India

from February 13 - 15, 2004.

� HRDC is organizing anaesthetic

practical training to its nursing

personnel for back-up support. In

2004, one staff nurse received

practical training in Anesthesia at

B & B and Patan Hospitals.

� Two "Train the Trainer'

workshops were conducted at

HRDC - one utilizing the skills of

internal staff and the other using a

trainer from Social Work

Institute to empower core staff in

training / session delivery skills.

� Mass sensitization education

sessions were conducted twice in

Banke District and a few times in

Makwanpur district to more than

947 individuals who have stake in

prevention and disability

management.

� A teaching learning activity on

physical medicine and

rehabilitation was conducted at

HRDC jointly with BPK Institute

of Health Sciences, Dharan, Nepal

from September 27 - October 01,

2004. Residents of MS Programs

in Orthopedic Surgery,

Kathmandu University and MS

(Ortho) Program, BPKIHS greatly

benefited from the activity.

� Skill training was given to staff

of three grass root level non-

government organizations (Bal

Kalyan Society- Bara, COSAN -

Rautahat and Prerana - Sarlahi) on

the fabrication of simple orthoses

as part of empowering local

organizations with an eventual

increase in easy service access.

� HRDC staff from different

departments participated in

Orthopaedic Conference

(ORTHOCON), Physiotherapy

Conference, CBR National

Network Conference.

One of the graduates of primary rehabilitation training is reading out the text of the gift

offered by the graduates to the team of trainers at the conclusion of the training

� Income and expenditure summary on operating cost:

� Income = Rs.39.73 million rupees of which

21.44% (8.51 million Rupees) was local income.

� Expenditure = Rs.37.35 million

Note: There is some saving on operating cost but deficit on comprehensive cost.

"The Project is successful incontrolling the administrativeoverhead, which is 2% (on anaverage) of the total income..."

Charter Accountant,Project Evaluation, 2001

Human resource and rehab manager talking to training participants


Concluding Words From Executive Director

Dear friends,

Belated happy new year!

During 2004, your continued assistance kept us busy and your belief kept us

energetic. Thank you very much for your confidence in us. On behalf of HRDC, may I

take this opportunity to reaffirm our promise to address every need of physically

challenged children in Nepal, with total dedication and the highest level of

professionalism.

Despite the security situation remaining uncertain, an increase in the flow of patients, quality and

compassionate work continues to be the hallmark of HRDC. In 2004, we overcame the challenge of managing

an uneven influx of patients due to unpredictable occurrences of road blockade and strikes. We have

maintained focus on opening up access to quality medical services and treatment at the hospital as well as via

outreach programs for children with musculo-skeletal problems. No stone has been left unturned to make our

presence useful to them.

The present political scenario has led the country and its regions into isolation. Aware of this, we plan to have

more remote service centers at strategic locations throughout the country. This will not only help us to reach

the previously unreachable but will also keep us focussed on empowering local networks. We have

endeavored to progressively decentralize HRDC's regional services to two satellite centres in 2005 -

Nepalganj in the Western region and Biratnagar in the East.

On behalf of the children and team at HRDC, I am very thankful to all of you for your invaluable contribution

during these difficult times. We are fully committed to high quality treatment and rehabilitation services and any

change in face of difficulties will not deter us from bringing positive change to the lives of physically challenged

children. We are dedicated, as ever, to materialize the "hope on the hill Top" and to "enabling abilities" in the

days to come.

Thanking you for your continued support.

Krishna P BhattaraiExecutive DirectorHRDC

TARGET 8

Implement administrative and managerial policies approved by the

executive board of the Friends of the Disabled.

ACHIEVEMENT

In general, the policies and by-

laws approved by the board were

implemented without hitch.

GENERAL ANNUALGATHERING

In January we organized the

second 'General Annual

Gathering' the main purpose

being to update HRDC's

stakeholders on its development.

Following a welcome by the

chairman of the Friends of the

Disabled, Dr. Ashok Banskota,

the heads of departments

presented a summary of their

departments' progress during

2003. Reinhard Fichtl, from Terre

des hommes also made a

presentation on dealing with the

current conflict situation.

CREATION OF ADVISORYCOUNCIL, FRIENDS OFTHE DISABLED

With the purposes of offering

advice to the FOD that may bring

far reaching results, creating

young generation resources to

compliment the management now

and later to sustain the quality of

HRDC's services and opening

communication among senior

staff so that concerns could be

dealt with transparently,

establishing "Advisory Council,

FOD" is in process.

MEDICAL IN-CHARGE

The medical in-charge Dr. Ravi

Thapaliya resigned from his post

at HRDC and left for Australia in

March 2004. The second batch of

two MS Students Dr. Binod

Bijukachhe and Dr. Tarun

Rajbhandari who graduated in

September 2003, and continued

their service at HRDC as

registrars are assuming the

responsibility of medical

in-charge on a six month

alternate basis.

MARKETING

� Ms. Chetana Banskota who

joined HRDC in the last quarter of

2003 as fundraising manager

continued with us till May of 2004.

� Terre des hommes is

supportive of our effort of

seeking alternate avenues of

sustainability. In 2004, Tdh

allocated a budget for developing

and implementing a marketing

plan. A few initiatives taken have

been listed below:

� A half day long orientation on

"Basics of Marketing" was

organized in May 2004 for all

board members, advisory council

members and heads of

departments and sections of

HRDC. Mr. Bruce Moore, field

director of Nepal for The

American Himalayan Foundation

gave us a good orientation on the

subject. Based on the orientation

a team was formed to select a

marketing consultant for HRDC.

� The position was advertised

and following review of the

applicants and presentation

from three, the consultancy

J&T Associates was selected.

� In addition Ms. Raksha

Bajracharya was appointed

following an open

advertisement and interview,

as HRDC's new marketing

manager.

DECENTRALIZATION OFHRDC'S SERVICES

Due to rising armed conflict in the

country it has become extremely

difficult to accurately predict the

situation at a certain location and

organize follow up care and

outreach service. Therefore it has

been decided to progressively

devolve services to strategic

locations in the country and

manage the services from these

locations. This ad hoc decision has

been made for safety of all involved

- the clients and HRDC staff.

Preparation for implementing the

decision is ongoing.

Executive Board officials, major donor representatives, consultants, executive management

team members and middle level managers of HRDC at the end of the annual general

meeting of 2004


ANNEX B List Of Collaboration Partners

21. Bardia Rehabilitation Center of the Disabled,

Gulariya, Bardiya

22. Nepal Disabled Association, Biragunj, Parsa.

23. Sarbodaya Youth Club, Birgunj, Parsa

24. District Child Welfare Society, Kalaiya, Bara

25. Nepal Apanga Sewa Sang, Simara, Bara

26. Gramin Nari Utthan Sangh, Sarlahi

27. Community Organization Support Association

Nepal, Makawanpur

28. Community Welfare Center Makawanpur

29. CARITAS Damak, Jhapa

30. Human Rights Consciousness and Development

Centre, Panchthar

31. Helping Hands: Shankhuwasbha/ Panchthar

32. Apang Sewa Sangha, Dhanakuta

33. Center for Community Department and

Research, Gorkha

34. GORETO, Gorkha

35. Tulasi Mehar UNESCO Club, Gorkha

36. Rehabilitation Center for Disabled, Damauli,

Tanahun

37. Apanga Utthan Samaj Kapilvastu

38. Nepal Red Cross Society

39. 20 District Development Committees, 26

Municipalities, 1500 Village Development

Committees

1. PLAN Nepal, Banke, Makawanpur and Morang

2. Handicap International

3. Prerana, Sarlahi

4. UNICEF

5. CBR Biratgnagr

6. Patan CBR

7. CBR Bhaktpur

8. Nepal Disabled Association: Kailali, Bara and

Sarlahi

9. Nepal National Society Welfare Association,

Mahendranagar, Kanchanpur

10. Apang Kalyan Sewa Sangh, Mahendranagar

11. World Vision, Sunsari, Lamjung

12. Palpa CBR

13. BASE Palpa

14. District Welfare Committee, Kapilvastu/ Ilam/

Nuwakot & Rupandehi

15. Himalayan Community Development Forum

(HICODEF), Nawalparasi

16. Disabled Rehabilitation Center Nawalparasi

17. Partnership for New Life, Butwal, Rupandehi

18. Maitri Community Development Forum,

Gaidakot, Nawalparasi

19. CBRS Pokhara, Kaski

20. INF/Partnership for New Life, Pohara, Kaski

ANNEX A List of Donors, 2004

REGULAR INSTITUITIONAL

DONORS

Terre des hommes, Switzerland

American Himalayan Foundation, USA

NGOD-FNEL, Luxembourg

Christoffel Blindenmission, Germany

All Together Now International, USA

Ministry of Women, Children and Social

Welfare, Nepal

Rotary Club of Kathmandu Midtown and

UNFPA

2004 INSTITUTIONAL

DONORS

M/S H. Refrigeration & Electric Industries

M/S Integrated Computer System

M/S Movie Nepal Production

M/S Bhakta Store

M/S Economic & Counselor's Office

(Chinese Embassy)

M/S Rabina Construction Pvt. Ltd.

M/S Kishan Printing Press

M/S Mont View Presbitarian Church

M/S Gupta Trading Concern

M/S Rajbhandari Pharma

M/S East West Concern Pvt. Ltd.

M/S Great Himalayan Traders

M/S Tirupati Pharma

M/S Exclusive Nepal Tibet Carpet

M/S Pharma Med International

M/S National Electro Tech

M/S Mediaids (Nuraz) Pte. Ltd.

Dr. Balram Joshi Gyan Bigyan Award

Mr. Yadav Prasad Pant

Mr. Beryl Fredrick, Spain

Ms. Sheena Blackford, UK

Dr. Charles McAdams

Ms. Chetana Banskota

Mr. Gavin Glascodine, Scotland

Mr. Jochen Ohlmann, Germany

Ms. Ram Devi Shakya

Ms. Marilyn Lerner, USA

Mr. Siddharth Raj Pandey

Mr. Amy B. Yehling, USA

Mr. Kishor Manandhar

Mr. Subash Gupta

Mr. Bhai Raja

Mr. Rahul

Dr. Karmacharya

Mr. Manoj (Pearl)

Mr. Suk Dev Joshi

Mr. & Mrs. Omkar Lal - Shanti Shrestha

Ms. Viola Pandey

Mr. Manohar Prasad Sherchan

Ms. Usha Dugar

Mr. Chetu Prasad Regmi

M/S Siddharth Bank Ltd.

M/S Anup Printing Press

M/S Air Tech

M/S Liberty Shoes

M/S Agrawal Impex

M/S Stabiline System Nepal

M/S Sag Tani Overseas

M/S P. K. Impex

M/S Sugam Transport

M/S Shishash Trade Link

M/S CE Construction Pvt.

M/S B. R. Group

M/S Creative Builders Concern Co. Pvt.

M/S Gupta Trade Concern

M/S Orthopedica

M/S Ethos Trade Concern

M/S World Link Communication

M/S Alliance Insurance Co. Ltd.

M/S Nepal Investment Bank Ltd.

M/S Rabina Construction Pvt. Ltd.

M/S Nepal Lever Limited

M/S PLAN Nepal

M/S Austrian Round Table

INDIVIDUAL DONORS

Ms. Kopila Karki & Mr. Nil Bahadur Karki

Ms. Deepa Pandey

Ms. Sarah Miles, Canada

Mr. Sanjeeb Prasad Shrestha

Ms. Ursula Conrad

Pt. Swasthani Bogati

Pt. Santana Rai

Quantitative Tragets of 2005

CBR

Home Visits = 4200

Mobile Camp Round = 12

Patients (Old & New) = 5398

School screening camp = 30,000

Resources

Organization Funding = 80%

Local Contribution = 20%

Note: Effort is going on to reduce external dependence

Assessment

New patients = 1200

Follow up = 5400

Admission = 1000

Surgery

Major = 988

Minor = 780

Physiotherapy

New Total Sessions

Patients Influx

In Patient 1008 1680 36084

Out Patient 888 3960 4344

Appliance

Fabrication = 1800

Benificiaries = 1400

Vice Chairman of the FOD offering ‘Tika’ to a patient at HRDC during ‘Dipawali’ festival

Hospital and Rehabilitation Centre for Disabled Children 19Hospital and Rehabilitation Centre for Disabled Children18 NEWS IN PICTURE

Dr. David Spiegel being honored at a special function at

HRDC, as honorary consultant orthopedic surgeon. Dr.

Spiegel is in the Faculty of the Children's Hospital of

Pennsylvania (CHOP), USA and has contributed to the

development of post graduate pediatric orthopedic education

at HRDC in collaboration with Dr. Banskota.

Prof. Jwala R. Pandey and other members of HRDC Faculty and stafflook on as Prof. Banskota honors Dr. Spiegel

Mr. Richard Blum, the chairman

of American Himalayan

Foundation (AHF) was

felicitated by National Civil

Forum Nepal for the continued

valuable contribution to the

rehabilitation of physical

challenged children through

HRDC. Mr. Blum was

represented by Mr. Bruce

Moore, the field director of AHF

Nepal.

Terre des hommes Nepal, Country Representative Mr.Reinhard Fichtl receiving the Organizational Honor from thethen Prime Minister for its invaluable contribution towardsthe rehabilitation of physically disabled children throughHRDC. The honor was organized by National Civil ForumNepal.

National Civil Forum Nepal

felicitated HRDC and its executive

director for the contribution made

towards children with physical

disabilities of Nepal

The Rotarian Mr. Arun M. Sherchan handing over the

cheque to HRDC’s executive director. Note that HRDC

is involved in awareness campaign of the reproductive

health to families of disabled children. This is an

integrated pilot project being run in two districts of Nepal

with financial support from UNFPA and Rotary Club of

Kathmandu Mid-Town.

In the workshop on 'Mapping of Health Services in Disability' was

organized in Biratnagar by CBR National Network Nepal, the director of

HRDC played a major role. The chief district officer and other local

government and non-government officials are seen in photo.

Dr. Banskota thanks a young Nepali business entrepreneur (Mr. Siddhartha Raj Pandey

with blue t-shirt in the photo above) who generously donated one hundred thousand

rupees to HRDC.

This picture shows the

participants of the 2nd 4N

Conference held in

Kathmandu, Nepal. The

Nippon NGO Network Nepal

(4N) is the network of NGOs

based in Japan. They work

very closely with Nepali

counterpart NGOs and

Individuals. There are also

efforts being made to

establish a network of Nepali

NGOs working with the 4N

partners. The executive

director of HRDC is the

coordinator of the network.

Participants of a Workshop in Nepalganj: A one day workshop was organized in Nepalganjto identify areas of involvement of HRDC's Satellite Centre.

'CBR Regional Network (South Asian)' is conducting the 4th regional conference

in CBR in Sept 2005 in Sri Lanka. The executive director of HRDC who is also

regional coordinator of the network participated in the 'Preparatory Meeting' of

the conference held in Dec 2004 with delegates from six neighboring countries.

The HRDC’s executive

director joined a team from

Nepal to study 'Social

Welfare and Security

Systems' in Japan. The

Chairman and officials of

'The Foundation for the

Welfare and Education of

the Asian People', Nepal's

acting ambassador to Japan

and his wife and other

delegates are seen in the

photo.

A half day long 'disability orientation' was jointly organized by HRDC and

Red-Cross in parsa district. The director of HRDC made a presentation to

local government authorities and representatives from non-government

organizations.

Hospital and Rehabilitation Centre for Disabled Children20

Majority of HRDC staff

Hospital and Rehabilitation Centre for

Disabled Children (HRDC)

P. O. Box 6757, Kathmandu – Nepal

Telephone: 00 977 11 661666, 661888

Facsimile: 00 977 11 661777

Email: [email protected]

www.hrdcnepal.org

Documents

Annual Report 2004 · 2018. 9. 13. · Barsa Shrestha, a 10-year-old girl from Butwal (400 Km west from Kathmandu) is the only living child among four in her family. She was born